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Functional connectivity and metabolic brain alterations in sleepwalkers.
Eur J Neurol
February 2025
Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy.
Objective: Disorders of arousal (DoA) are characterized by an intermediate state between wakefulness and deep sleep, leading to incomplete awakenings from NREM sleep. Multimodal studies have shown subtle neurophysiologic alterations even during wakefulness in DoA. The aim of this study was to explore the brain functional connectivity in DoA and the metabolic profile of the anterior and posterior cingulate cortex, given its pivotal role in cognitive and emotional processing.
View Article and Find Full Text PDFEffect of the Levels and Sources of Noise on the Sleep Quality of Conscious Patients in Emergency Intensive Care Unit.
Noise Health
January 2025
Department of EICU, Wenzhou Central Hospital; The Dingli Clinical College of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Purpose: This study aimed to assess the levels and sources of noise in the emergency intensive care unit (EICU) of an emergency department and investigate their effects on the sleep quality of conscious patients.
Methods: A study was conducted on patients admitted to the EICU from December 2020 to December 2023. They were categorised according to their sleep quality with the Pittsburgh Sleep Quality Index.
Sleep disorders in patients with obsessive-compulsive disorder: A systematic review of the literature.
J Sleep Res
December 2024
Department of Clinical Medicine, University of California, San Francisco, Fresno, California, USA.
Patients with obsessive-compulsive disorder are presumed to be at higher risk of sleep disorders due to the potential interference that persistent thoughts and compulsions may exert on sleep. Although there are studies on sleep findings in patients with obsessive-compulsive disorder, there are few systematic reviews on the presence of sleep disorders in patients with obsessive-compulsive disorder for adults and children. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed to perform a comprehensive search of PubMed and Web of Science using the MeSH terms "obsessive-compulsive disorder" and "sleep wake disorders".
View Article and Find Full Text PDFPsychopathology and NREM sleep parasomnias: A systematic review.
Sleep Med Rev
December 2024
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland; Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, Ospedale Civico, Lugano, Switzerland; University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland. Electronic address:
Non-rapid eye movement (NREM) sleep parasomnias are abnormal motor and/or emotional behaviors originating from "deep" slow-wave sleep and with a multifactorial origin. The relationship between NREM parasomnias and psychopathology has been a topic of ongoing debate, but a comprehensive and systematic perspective has been lacking. This systematic review, conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA-P) guidelines, aims to fill this gap in the literature.
View Article and Find Full Text PDFSleep related injury and its correlates in isolated rapid eye movement sleep behavior disorder.
Sleep Med
February 2025
Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong Special Administrative Region of China; Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of China; Li Ka Shing Institute of Health Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong. Electronic address:
Article Synopsis
- This study aimed to find out what factors contribute to sleep-related injuries (SRI) and persistent sleep-related injuries (pSRI) in patients with isolated rapid eye movement sleep behavior disorder (iRBD).
- A retrospective review of 388 iRBD patients showed that 83% reported a history of SRI, with some suffering severe injuries, and factors like depressive symptoms, alcohol consumption, and certain EMG activity were linked to these injuries.
- Despite treatment, 18% of patients continued to experience pSRI over an average follow-up of 5.1 years, highlighting the need for better safety measures and targeted screening for those at risk.
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